NUR 2180/ NUR2180 Physical Assessment Module 4 Quiz | Latest 2025/2026 Update | Questions and Answers PDF | 100% Correct | GRADED A

NUR 2180/ NUR2180 Physical Assessment Module 4 Quiz | Latest 2025/2026 Update | Questions and Answers PDF | 100% Correct | GRADED A Question: What things should you assess when asking skin lesions? Answer: size, shape, borders, asymmetric, any oozing, color(s), depth, how long the lesion has been there, does it cause pain, how did they get the lesion, texture of lesion Question: What is eczema? Answer: chronic inflammatory skin lesion caused by overstimulated immune system, genetic changes in the skin and environmental triggers Question: Signs of eczema Answer: Erythematous papules and vesicles, with weeping, oozing, flaking, fissures, crusts, and severe pruritus, usually red in color Question: Symptoms of eczema Answer: dryness, erythema, edema, itching, vesicles,client may have poor sleep, behavioral concerns, absences from school and work. Question: What is edema? Answer: fluid accumulating in the interstitial spaces that is not present normally Question: How do we assess edema? Answer: imprint your thumbs firmly for 3 to 4 seconds against the ankle or tibia. Normally the skin surface will stay smooth but with edema, there will be imprint left in the area. Question: How do we grade edema? Answer: +1= mild pitting +2= moderate pitting +3= deep pitting +4=very deep pitting Question: Characteristics of +1 mild edema Answer: slight indentation, but no swelling of the leg Question: Characteristics of +2 moderate edema Answer: indentation of the leg present and swelling, but will subside fast Question: Characteristics of +3 deep pitting edema Answer: indentation goes deep and remains for a short time, leg is often swollen Question: Characteristics of +4 severely deep pitting edema indentation goes very deep and lasts a long time, the leg is often very swollen and distorted What is brawny edema? a type on nonpitting edema in which the skin thickens and hardens, from a obstruction or a vein or lymph duct Question: Explain Scoliosis Answer: lateral S shaped curve of the thoracic and lumbar spine, usually involved with vertebrae rotation Question: Assessment of scoliosis Answer: have client undress and expose back, have them bend down and feel the vertebrae to look for an curves, unequal should, ribs and hips Question: Explain kyphosis an exaggerated posterior curvature of the thoracic spine that will appear humpback Question: Assessment of kyphosis look for a humpback when one stands Question: Explain lordosis pronounced lumbar curve in the spine, usually is seen in obese people or in pregnancy Assessment of lordosis see if the clients stomach and abdomen is more pronounced when standing up, sticking the belly out Question: Explain resistance and range of motion when assessing extremeties Answer: Clients may have resistance when they are in pain or have a joint disease, crepitus. Muscle strength is usually tested by having resistance by pushing up and having the client push as well with all arms, elbows, wrists, feet, knees and legs.Motion can be active or passive Question: Grading Scale for muscle strength testing Answer: 5/5= full motion against gravity and resistance 4/5=full motion against gravity, some resistance 3/5= full range of motion with gravity 2/5= full range of motion with gravity using passive motion 1/5= slight contractions 0/5=no contraction Question: 5/5 grading scale Answer: full motion against gravity and resistance Question: 4/5 grading scale full motion against gravity, some resistance Question: 3/5 grading scale full range of motion with gravity 2/5 grading scale full range of motion with gravity using passive motion Question: 1/5 grading scale slight Answer: contractions Question: 0/5 grading scale no Answer: contraction Question: Adduction movement toward Answer: the midline Question: Abduction movement away from Answer: the midline Question: Eversion turning the sole of the foot outward Question: Circumduction moving the arm in a circle around the shoulder Types of lesions found in powerpoint and book- know them there will be many questions and photos Question: What are you assessing when you palpate the musculoskeletal system? Temperature of the skin and muscles, bony articulations, areas of joint capsule, noticing heat, joint tenderness, swelling or masses that signal inflammation/ tumors/ growths. Joints will not be tender when palpation and if tenderness occurs, localize it to specific areas and be careful to not cause additional pain to client. Question: How to complete a functional assessment on an older adult Includes both physical assessment and the functional assessment including ADL's and higher-level ADL's such as cooking and shopping. ADL's include grooming, toileting, feeding, walking. Must assess cognition with the older adult as often times their attention and memory and high-level functions may be diminished. Can be due to delirium or dementia. Important to know their social networks including outside form the care they may need from the ALF and family. Caregivers also need to be assessed in order to see if there are any impairments to them when caring for a client as caregiver burnout can occur. Environmental assessments are also important to see safety or living space and for fall to injury risk to self. Question: What is cyanosis bluish mottled color from decreased perfusion of blood and oxygen to tissues. They are often low in oxygen. They are normally seen in the lips, nose, cheeks, ears and oral membranes. Can be a sign one may have hypoxemia or anemia seen with cardiac arrest or chronic bronchitis. Question: qWhat is clubbing usually seen in the nails, occurs with congenital heart disease, COPD, and pulmonary disease. Early stages the nail angle straightens to 180 degrees and the nail base is spongy when palpating. The nail is convex. Late clubbing shows the inner edge of nail is above 180 and the nail bed is shiny and round. flexion bending a joint Question: extension Straightening of a joint Question: external rotation moving head or bone around a central axis Question: supination movement that turns the palm up Question: Techniques to assess the musculoskeletal system head to toe or proximal to distal in systemic way, inspect each joint or bone or area, do range of motion tests, resistance tests Question: active range of motion Range of motion exercises completed by the resident without assistance Question: passive range of motion therapist putting a patient's joints through available range of motion without assistance from the patient